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Epidemiology of Fractures in Children Younger Than 12 Months

Diana Rodà1, Victoria Trenchs2, Ana Isabel Curcoy2

  • 1From the Pediatric Department.

Pediatric Emergency Care
|May 3, 2017
PubMed

Insights

Fractures in infants are uncommon in pediatric emergency departments (PEDs), with skull fractures being most frequent. Healthcare providers should educate caregivers on developmental risks and always consider child abuse in infant fracture cases.

Area of Science:

  • Pediatric Emergency Medicine
  • Orthopedic Surgery
  • Child Health

Background:

  • Infant fractures are infrequent but require careful evaluation.
  • Understanding fracture patterns in young children is crucial for diagnosis and management.

Purpose of the Study:

  • To determine the prevalence and characteristics of fractures in infants under 12 months old presenting to a pediatric emergency department (PED).

Main Methods:

  • Retrospective analysis of 101 infant fracture cases over two years (2011-2012).
  • Data collected included patient demographics, fracture type and site, injury mechanism, and treatment.
  • Analysis focused on prevalence, common fracture types, and injury circumstances.

Main Results:

  • Infant fractures accounted for 0.3% of all pediatric emergency department visits for children under 12 months.
  • Skull fractures were the most common (57.4%), followed by long bone fractures (26.7%).
  • Falls from furniture were the primary reported injury mechanism (82.2%).

Conclusions:

  • Skull fractures are the most common type of fracture in infants presenting to the PED.
  • Pediatricians must educate caregivers about normal development risks and potential injury prevention.
  • Child abuse must always be considered and ruled out in cases of infant fractures.
Abstract

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